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CircSMEK1 Suppresses HCC via the hnRNPK‐IGF2‐AKT Axis: A Diagnostic Biomarker and Therapeutic Target




TekijätGuo, Peilan; Jia, Xiaomeng; Wang, Shenghong; Li, Xinyu; Liu, Yajing; Lin, Lisen; Wang, Zhengkun; Liu, Fujun; Wolczynski, Slawomir; Rahman, Nafis; Gao, Jie; Du, Xuguang; Tsang, Suk‐Ying; Liu, Jiali; Song, Wei; Li, Xiangdong.

KustantajaWiley

Julkaisuvuosi2025

Lehti: Advanced Science

Artikkelin numeroe05267

eISSN2198-3844

DOIhttps://doi.org/10.1002/advs.202505267

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Kokonaan avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1002/advs.202505267

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/504738126


Tiivistelmä
The mechanism underlying metabolic dysfunction-associated steatohepatitis (MASH) to hepatocellular carcinoma (HCC) is elusive, and whether circRNA can serve as biomarker or therapeutic target for MASH/HCC needs to be systematically explored. Integrative transcriptomic analysis of circRNA from MASH and HCC were performed. Multi-cohort analyses of serum and tissues from MASH and HCC patients (n = 206) were conducted. Mechanisms are explored via RNA-protein interaction assays, CRISPR-mediated knockdown, and xenograft/PiggyBac-mediated mice models. circSMEK1 is significantly decreased in MASH/HCC tissues and serum, correlating with tumor size, vascular invasion, and overall survival. Mechanistically, nuclear circSMEK1 binds hnRNPK, promoting its ubiquitin-mediated degradation, suppressing IGF2 transcription and PI3K/AKT signaling. Loss of circSMEK1 elevated autocrine IGF2 in HCC promoting tumor growth, also activated AKT in cancer-associated fibroblasts through paracrine, fostering an immunosuppressive microenvironment. SF3B4 overexpression drove circSMEK1 depletion in HCC. In murine models, circSMEK1 restoration inhibited tumor growth and metastasis. circSMEK1 is a tumor-suppressor in MASH/HCC through the hnRNPK-IGF2-AKT axis. The serum level of circSMEK1 has non-invasive diagnostic value for HCC (AUC = 0.790), as well as potential diagnostic utility for early HCC or high-risk MASH, owing to its key role in bridging MASH to HCC progression. Restoring of circSMEK1, alone or combined with IGF2 inhibitors, proposing a novel therapeutic strategy for HCC.

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Julkaisussa olevat rahoitustiedot
This work was supported by 1) National Natural Science Foundation of China (Grant No.: 82171854); 2) Medical University of Bialystok, Poland (SUB/1/DN/21/003/1104); 3) The 2115 Talent Development Program of China Agricultural University.


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